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Department of Mental Health and 5 more... less...

Department of Mental Health (DMH)

Community Rehabilitation and Treatment (CRT)

Community Rehabilitation and Treatment

HV 2020 DMH

Mental Health CRT Community Support Services (16)

Percentage of CRT clients receiving follow up services within 7 days of psychiatric hospitalization discharge

Current Value

76%

SFY 2023

Definition

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Story Behind the Curve

Community Rehabilitation & Treatment (CRT) program provides treatment and support to individuals living in the community as well as those discharged from a psychiatric hospitalization.  Outpatient follow-up care is a critical component of post discharge planning for patients hospitalized (Follow-Up After Hospitalization for Mental Illness, NCQA). 
Proper follow up care is associated with lower rates of readmission and with a greater likelihood that gains made during hospitalization are retained.  The period immediately following discharge from inpatient care is recognized as a time of increased vulnerability.  The first appointment within 7 days of discharge is intended to be the bridge between intense care and support in the hospital and the transition to recovery in the community.  This table shows that CRT programs consistently have a high percentage of contact following the discharge which correlates to the low hospitalization rate of those enrolled in the CRT program. This support offers a route for the clients' success and stability in their community.   

Partners

The CRT system of care includes CRT services at each of the Designated Agencies which includes psychiatry services.  Many of the Designated Agencies have Intensive Residential Recovery, Group Homes, Crisis Beds, Community Cadre, and Employment Services.  CRT programs partner with local Medical Providers, Home Health Agencies, Offices of Economic Opportunity, Vocational Rehabilitation, and Housing Trust agencies.  

Strategy

The strategy for continued success is for the client, the client's treatment team, and support system to develop a treatment plan that will assist the client to be successful living in the community.   Evidence has shown that the relationship between the client and the treatment team is extremely important to decrease any stigma associated with mental illness as well as as identify any warning signs that the client may be decompensating.  Designated Agencies use evidence‐based practices to help increase positive outcomes.

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